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Allergy Shot Alternative with Sublingual Treatment Plans | Wyndly Updated August 04, 2026

Pollen tablet start calendars (grass & ragweed): when to begin in each U.S. state

How tablet timing works and why timing matters

Last updated: December 2025

Shortcut to state snapshots: CaliforniaTexasFloridaNew YorkOhioNorth CarolinaOregonColoradoGeorgiaPennsylvania

State snapshots (anchor-ready)

Use these quick anchors for snippet-friendly answers. Lead times follow label guidance: Grastek and Ragwitek ≥12 weeks; Oralair ≈16 weeks pre‑season. Always continue through the season and confirm with your clinician.

California

  • Grass tablets (Grastek ≥12 wks; Oralair ≈16 wks): start by Feb 1

  • Ragweed tablets (Ragwitek ≥12 wks): start by Jun 1

Texas

  • Grass tablets: start by Feb 1

  • Ragweed tablets: start by May 1

Florida

  • Grass tablets: start by Feb 1

  • Ragweed tablets: start by May 1

New York

  • Grass tablets: start by Mar 1

  • Ragweed tablets: start by Jun 1

Ohio

  • Grass tablets: start by Mar 1

  • Ragweed tablets: start by Jun 1

North Carolina

  • Grass tablets: start by Feb 1

  • Ragweed tablets: start by Jun 1

Oregon

  • Grass tablets: start by Mar 1

  • Ragweed tablets: start by Jun 1

Colorado

  • Grass tablets: start by Mar 1

  • Ragweed tablets: start by Jun 1

Georgia

  • Grass tablets: start by Feb 1

  • Ragweed tablets: start by May 1

Pennsylvania

  • Grass tablets: start by Mar 1

  • Ragweed tablets: start by Jun 1

  • Grass tablets

  • Grastek (Timothy grass): start at least 12 weeks before the expected grass season; continue through the season. See FDA label for more information.

  • Oralair (5‑grass mix): start about 4 months before the grass season; continue through the season. See official guidance.

  • Ragweed tablet

  • Ragwitek (short ragweed): start at least 12 weeks before ragweed season; continue through the season. See manufacturer guidance.

Clinical note: Starting ≥12 weeks (≈3 months) before your local season gives time for desensitization. Oralair labeling specifies ≈4 months for grass. Grastek and Ragwitek specify ≥12 weeks. If you’re already inside that window, starting as soon as possible can still help, but earlier is better.

Start‑by reminders (quick planner)

How to start your tablet on time (step‑by‑step)

  • Jump to your tables: Grass start‑by calendarRagweed start‑by calendar

  • Step 1 — Find your local season: Check your state page in our season atlas and note peak months for grass or ragweed.

  • Step 2 — Pick your tablet and lead time: Grastek and Ragwitek require ≥12 weeks before season; Oralair is ~16 weeks. Earlier is better, especially with longer seasons.

  • Step 3 — Count back: From your peak month, count back 12–16 weeks to set a conservative “start by” date (or use the state tables below).

  • Step 4 — Set reminders: Add a phone/calendar reminder 3–4 months ahead of peak; shift 2–4 weeks earlier in coastal/low‑latitude regions or if prior seasons were severe.

  • Step 5 — Get started safely: Schedule your supervised first dose, confirm you have epinephrine if prescribed, and continue tablets through the season.

  • Step 6 — Monitor and adjust: If you’re inside the 12–16 week window, start as soon as possible—some benefit is still likely; confirm timing with your clinician.

Note: Pollen seasons are trending earlier/longer in many regions; plan conservatively (CDC overview).

  • Grass tablets: plan 12–16 weeks before your state’s typical grass season.

  • Grastek (Timothy): ≥12 weeks pre‑season.

  • Oralair (5‑grass mix): ~16 weeks (≈4 months) pre‑season.

  • Learn more: Grass pollen basics

  • Ragweed tablet: plan ≥12 weeks before your ragweed season.

  • Ragwitek (short ragweed): ≥12 weeks pre‑season.

  • Learn more: Ragweed overview

  • Find your local window: check the state season atlas, then use the tables below for conservative “start‑by” months.

  • Tip: set a recurring phone calendar reminder 3–4 months ahead of your state’s peak so you don’t miss the window; shift earlier by 2–4 weeks in coastal/low‑latitude areas or if you’ve had severe seasons.

How these state calendars were generated

  • We mapped each state’s typical peak timing for grass (late spring–early summer) and ragweed (late summer–early fall) using Wyndly’s state and allergen guides and then backed up the labeled lead‑in (≥12 weeks or ≈4 months) to compute a conservative “start by” month.

  • Examples and state seasonality resources:

  • Grass peaks: many states show June peaks; see Oregon (June grass) and Ohio (June grass). California lists May for grass.

  • Ragweed peaks: commonly September. See North Carolina, Maryland, Wisconsin, Pennsylvania. Ragweed overview is also available.

  • State hub (learn more or verify local timing): Wyndly's Allergy season by state and pollen index provide additional resources.

  • Season lengths are trending earlier/longer in many regions; plan conservatively. See CDC overview on pollen and climate for details.

Start‑by calendars (annual targets)

These tables list conservative “start by” months each year. If your local peaks are earlier than typical (coastal/low‑latitude zones) or you’ve had historically severe seasons, shift earlier by 2–4 weeks. Always confirm with your clinician and local pollen trends.

Grass tablets (Grastek ≥12 weeks; Oralair ≈4 months)

State Start by (month)
Alabama February 1
Alaska April 1
Arizona February 1
Arkansas February 1
California February 1
Colorado March 1
Connecticut March 1
Delaware March 1
District of Columbia March 1
Florida February 1
Georgia February 1
Hawaii February 1
Idaho March 1
Illinois March 1
Indiana March 1
Iowa March 1
Kansas March 1
Kentucky March 1
Louisiana February 1
Maine March 1
Maryland March 1
Massachusetts March 1
Michigan March 1
Minnesota March 1
Mississippi February 1
Missouri March 1
Montana March 1
Nebraska March 1
Nevada March 1
New Hampshire March 1
New Jersey March 1
New Mexico February 1
New York March 1
North Carolina February 1
North Dakota March 1
Ohio March 1
Oklahoma March 1
Oregon March 1
Pennsylvania March 1
Rhode Island March 1
South Carolina February 1
South Dakota March 1
Tennessee March 1
Texas February 1
Utah March 1
Vermont March 1
Virginia March 1
Washington March 1
West Virginia March 1
Wisconsin March 1
Wyoming March 1

Ragweed tablets (Ragwitek ≥12 weeks)

State Start by (month)
Alabama May 1
Alaska N/A (ragweed uncommon)
Arizona June 1
Arkansas May 1
California June 1
Colorado June 1
Connecticut June 1
Delaware June 1
District of Columbia June 1
Florida May 1
Georgia May 1
Hawaii June 1 (ragweed limited; verify locally)
Idaho June 1
Illinois June 1
Indiana June 1
Iowa June 1
Kansas June 1
Kentucky June 1
Louisiana May 1
Maine June 1
Maryland June 1
Massachusetts June 1
Michigan June 1
Minnesota June 1
Mississippi May 1
Missouri June 1
Montana June 1
Nebraska June 1
Nevada June 1
New Hampshire June 1
New Jersey June 1
New Mexico June 1
New York June 1
North Carolina June 1
North Dakota June 1
Ohio June 1
Oklahoma June 1
Oregon June 1
Pennsylvania June 1
Rhode Island June 1
South Carolina May 1
South Dakota June 1
Tennessee June 1
Texas May 1
Utah June 1
Vermont June 1
Virginia June 1
Washington June 1
West Virginia June 1
Wisconsin June 1
Wyoming June 1

Notes and exceptions

Quick links and CTAs

State‑specific tablet timing (FAQ)

Below are quick answers for common states. Use your state’s season guide above to double‑check local peaks, then follow the lead times here.

  • When should I start grass tablets in California? Start by Feb 1 (Grastek ≥12 weeks; Oralair ≈16 weeks). For ragweed tablets, start by Jun 1.

  • When should I start grass tablets in Texas? Start by Feb 1. For ragweed tablets, start by May 1.

  • When should I start grass tablets in Florida? Start by Feb 1. For ragweed tablets, start by May 1.

  • When should I start grass tablets in New York? Start by Mar 1. For ragweed tablets, start by Jun 1.

  • When should I start grass tablets in Ohio? Start by Mar 1. For ragweed tablets, start by Jun 1.

  • When should I start grass tablets in North Carolina? Start by Feb 1. For ragweed tablets, start by Jun 1.

  • When should I start grass tablets in Oregon? Start by Mar 1. For ragweed tablets, start by Jun 1.

  • When should I start grass tablets in Colorado? Start by Mar 1. For ragweed tablets, start by Jun 1.

  • When should I start grass tablets in Georgia? Start by Feb 1. For ragweed tablets, start by May 1.

  • When should I start grass tablets in Pennsylvania? Start by Mar 1. For ragweed tablets, start by Jun 1.

Note: Grastek (Timothy) and Ragwitek (short ragweed) specify starting ≥12 weeks before season; Oralair (5‑grass) ≈16 weeks. If you’re inside the window, start as soon as possible and continue through the season.

  • Alaska ragweed: Ragweed is generally absent in Alaska; Ragwitek is often not applicable.

  • Florida and Gulf Coast: longer growing seasons can shift both grass and weed windows earlier and extend them later; consider moving “start by” 2–4 weeks earlier if your local pollen peaks early.

  • Pacific NW and Oregon’s Willamette Valley: sustained high grass loads—keeping a March 1 grass start is prudent.

  • Microclimates/high elevation (e.g., Rockies): frost timing and altitude can shift peaks; use local pollen data to fine‑tune.

Related Wyndly resources

  • Grass pollen primer: Grass pollen allergies information available from Wyndly.

  • Ragweed primer: Ragweed allergies resources from Wyndly.

  • Tablet vs drops and getting started at home: see Wyndly’s pollen allergy immunotherapy hub for more on SLIT.

  • State timing hub: Wyndly’s resource on allergy season by state.

Care and safety essentials

  • First tablet dose should be given under clinician supervision; carry prescribed epinephrine; do not use if you have severe/uncontrolled asthma or a history of eosinophilic esophagitis (see product labels above).

  • Age ranges: current U.S. tablet labels cover ages 5–65 for grass and ragweed tablets (verify with your clinician).

  • Wyndly treats environmental (not food) allergies and offers at‑home testing with personalized SLIT. See our overview and FAQs for more information about allergy drops, shots, testing, and treatment.

Methodological references

  • Label‑direct timing requirements: Reference individual product labels for Grastek, Oralair, and Ragwitek timing requirements.

  • Season timing examples and state guides: Wyndly's locations hub and state pages provide season timing data and examples.

  • Season length trend: For details on seasonal changes and climate, see CDC's information on allergens and pollen.